Lookup NPI Numbers from the NPI Registry
NPI Profile for BRIDGECARE PROVIDER GROUP LLC in WAYNE, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker |
| NPI Number | 1164148672 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/17/2022 | |
| Last updated | 10/17/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BRIDGECARE PROVIDER GROUP LLC
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BRIDGECARE PROVIDER GROUP LLC